| NPI | 1518980515 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDDIE G ROGERS President 209-845-8231 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 225000000X Orthotic Fitter |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2010-12-29 |